Editor's quiz: GI snapshot
Multiple cystic liver lesions on CT
Center for Diagnostic and Interventional Radiology, University Hospitals Ulm, Ulm, Germany
Correspondence to:
Dr Markus S Juchems, Center for Diagnostic and Interventional Radiology, University Hospitals Ulm, Steinhoevelstr. 9, D-89075 Ulm, Germany; markus.juchems@uni-ulm.de
| The first 150 words of the full text of this article appear below. |
Clinical presentation
A 50-year-old patient had a 2-year history of recurrent unspecific abdominal pain, which was accentuated in the lower parts of the abdomen. The ache was described to be of a colicky character. No constipation or urinary dysfunctions were reported.
Laboratory values were as follows: bilirubin 24 (normal range 2–21) µmol/l; aspartate aminotransferase (AST) 21 (<44) U/l; alanine aminotransferase (ALT) 25 (<45) U/l; 
-glutamyltranferase (GGT) 21 (<55) U/l; alkaline phosphatase (ALKP) 67 (<130) U/l; cholinesterase 6.3 (5.30–13.00) kU/l. Other values were within the normal range.
An ambulatory CT examination showed multiple cystic liver lesions (fig 1). Sonography of the abdomen, which was performed at our institution, showed—in contrast—only an inhomogeneous consistency of the liver parenchyma (fig 2). No focal liver lesions could be detected.
Figure 1 Contrast-enhanced axial CT. Arrows show examples of cystic lesions.
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Figure 2 Sonography of the abdomen reveals inhomogeneous liver parenchyma but does not show cyst-like lesions.
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Gut 2008 57: 251.[Extract] [Full Text] [PDF]
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